Air Force Health Facilities Sustainment Operations Marvin Hsie, - - PowerPoint PPT Presentation

I n t e g r i t y - S e r v i c e - E x c e l l e n c e

Headquarters U.S. Air Force

1

Air Force Health Facilities Sustainment Operations

Marvin Hsie, DAF, FACHE, PMP Chris Blum, NIKA, Program Manager Curtis Barr, SRM Portfolio Manager AFMSA SG8F Aug 2018

I n t e g r i t y - S e r v i c e - E x c e l l e n c e

Overview

• Facility Life Cycle Management
• Sustainment
• Establish O&M Program
• Real Property System Standards
• The Joint Commission
• Corrective Maintenance
• Facility Operations

2

I n t e g r i t y - S e r v i c e - E x c e l l e n c e

Facility Life Cycle Management

3

Design

MOVE-IN

MAINTAIN

FUNCTIONAL MODERNIZATION

MAINTAIN

SYSTEMS RENEWAL

MAINTAIN

REPLACE?

MILCON MILCON SRM SRM NEW CONSTRUCTION

I n t e g r i t y - S e r v i c e - E x c e l l e n c e

50 Year Timeline for the Air Force Life Cycle Model

• Design = 1 - 3 Years
• Construction = 5 – 7 years
• Modernization = 3 – 5 times over lifecycle
• Restoration = 4 - 5 times over life cycle
• Maintain = 50 Years
• Sustainment operations properly applied help reduce

the cost and frequency of R&M

4

I n t e g r i t y - S e r v i c e - E x c e l l e n c e

Sustainment Program

• Real Property – infrastructure integral to the design of a building

(Foundation, HVAC, Plumbing, Roof, Electrical, Interior Construction, Fire Protection, etc.)

• Preventative Maintenance

 Special System Certifications

• Operational Checks
• Inspections
• Corrective Maintenance
• Vendor is responsible to identify the real property, validate the
• perations and maintenance activity, and execute the program

5

I n t e g r i t y - S e r v i c e - E x c e l l e n c e

Establish O&M Program

• Perform a Real Property Inventory
• 100% Physical review
• Label all significant equipment
• Load data in the computer maintenance management system

DMLSS FM Application

• A medical unique Tri-Service system
• Validate the O&M Program
• Review existing schedule

Preventive, inspections and operational check

• Examine each procedure

Tasks, frequency, specialty shop, maintenance driver

• Based on Real Property Systems Standards (RPSS)

6

I n t e g r i t y - S e r v i c e - E x c e l l e n c e

The RPSS

• The RPSS helps define the real property installed equipment

(RPIE) UNIFORMAT II hierarchy, the standards for maintenance actions (NFPA, UFC, RS Means), maintenance frequency per accreditation agencies (TJC, EPA, ECAMP, AAAHC), minimum procedures and tasks to properly maintain RPIE, the risk equipment failure poses to normal building operations

• The RPSS does not supersede O&M manuals, local conditions

which warrant more tasks or frequency, or other standards

• Vendors are expected to provide feedback on the validity of

the RPSS data when a discrepancy is discovered

7

I n t e g r i t y - S e r v i c e - E x c e l l e n c e

The Joint Commission (TJC)

• The Joint Commission is an independent, not-for-profit group in

the United States that administers accreditation programs for hospitals and other healthcare-related organizations.

• The Commission develops performance standards that address

crucial elements of operation, such as patient care, medication safety, infection control and consumer rights.

• Standards are for Healthcare and Business Occupancy
• Vendor must be proficient in all aspects of the TJC as related to

sustainment of high risk real property

8

I n t e g r i t y - S e r v i c e - E x c e l l e n c e

Corrective Maintenance

• Repair and Construction < $1M
• Routine and Compelling
• Vendor responsibility
• Develop Technical Instructions

30 days suspense from date of request Obtaining 3 quotes

• Respond to Request for Proposal (RFP)
• Government Funding CR Impact
• EOFY Planning

9

I n t e g r i t y - S e r v i c e - E x c e l l e n c e

Facility Operations

• Optional services vendors must be able to support
• Snow and Ice Removal
• Grounds Maintenance
• Entomology
• Custodial Services

10

I n t e g r i t y - S e r v i c e - E x c e l l e n c e

Summary

• Facility Life Cycle Management
• Sustainment
• Establish O&M Program
• Real Property System Standards
• The Joint Commission
• Corrective Maintenance
• Facility Operations

11

I n t e g r i t y - S e r v i c e - E x c e l l e n c e

Questions?

12